四川省新型冠状病毒感染集中隔离医学观察场所风险评价体系构建  

The construction of risk assessment system for centralized isolation medical observation sites for Covid-19 in Sichuan Province

作　　者：周贵 黎涛 汪良枢[2,6] 李婷 曾捷[2,6] 郁文 夏羽行 胡蓉[4,6] 彭艳 苏章辉 苏建明 张彩 王智刚 刘鑫 任兴戈 刘佳 ZHOU Gui;LI Tao;WANG Liangshu;LI Ting;ZENG Jie;YU Wen;XIA Yuhang;HU Rong;PENG Yan;SU Zhanghui;SU Jianming;ZHANG Cai;WANG Zhigang;LIU Xing;REN Xingge;LIU Jia(The Chengdu Fifth People's Hospital Affiliated to Chengdu University of Traditional Chinese Medicine,Chengdu 611130,Sichuan Province,China;Sichuan Center For Disease Control and Prevention,Chengdu 610041,Sichuan Province,China;Monitoring and Evaluation Center for Clinical Use of Medical Devices,Chengdu 610041,Sichuan Province,China;Bayi Rehabilitation Center of Sichuan Province,Chengdu 611135,Sichuan Province,China;Affiliated Hospital of Chengdu University,Chengdu 610081,Sichuan Province,China;Health Commission of Sichuan Pronince,Chengdu 610041,Sichuan Province,China;Sichuan Provincial Health Law Enforcement Supervision Corps,Chengdu 610041,Sichuan Province,China;Chengdu Municipal Health Commission,Chengdu 610095,Sichuan Province,China)

机构地区：[1]成都中医药大学附属成都市第五人民医院,成都3611130 [2]四川省疾病预防控制中心,成都610041 [3]四川省药械临床使用监测与评价中心,成都610041 [4]四川省八一康复中心,成都611135 [5]成都大学附属医院,成都610081 [6]四川省卫生健康委员会,成都610041 [7]四川省卫生执法监督总队,成都610041 [8]成都市卫生健康委员会,成都610095

出　　处：《预防医学情报杂志》2024年第4期444-450,共7页Journal of Preventive Medicine Information

基　　金：成都市医学科研资助项目(项目编号:2022402);四川省基层卫生事业发展研究中心资助项目(项目编号:SWFZ19-C-62);四川省科技厅资助项目(项目编号:21RX0084)。

摘　　要：目的通过对四川省新型冠状病毒感染集中隔离医学观察场所风险评价体系构建,了解集中隔离医学观察场所风险评价指标体系以及各项指标的权重,为集中隔离医学观察场所风险管理找准切入点。方法2022年3月20日至2022年6月15日通过德尔菲专家法确定新型冠状病毒感染集中隔离医学观察场所风险评价指标体系,利用层次分析法(Analytic Hierar Process,AHP),通过专家群决策方法计算各指标的权重。采用SPSS 22.0统计软件进行专家调查的协调系数计算,并评价问卷的有效性,检验水准α=0.05。结果参与专家共有50人,两轮专家调查的协调系数分别为0.38和0.43,新型冠状病毒感染隔离医学观察场所风险评价矩阵一致性为0.0756。一级指标有6个,一级指标权重大小依次为日常监管(0.4205)、场所硬件建设(0.1955)、核酸检测(0.1327)、制度与流程(0.1001)、人员管理(0.0949)、场所环境消毒(0.0564)。二级级指标有34个,二级级指标权重排在前6位依次为一脱间(0.1560)、隔离人员下车登记点(0.0937)、余氯监测(0.0649)、选址情况(0.0533)、视频监控(0.0456)、隔离人员核酸(0.0445)。结论四川省新型冠状病毒感染集中隔离医学观察场所风险评价指标体系全面。AHP在指标体系评价中应用比较合理,新发传染病防控管理利用AHP进行专家群决策可以提高效率。Objective To understand the risk evaluation index system of centralized isolation medical observation sites and the weight of various indicators by building a risk evaluation system for novel coronavirus infection centralized isolation medical observation sites in Sichuan province.To identify the entry point to manage the risk of centralized isolation medical observation sites.Methods The Delphi expert method determined the risk evaluation index system of centralized isolation medical observation site for novel coronavirus infection,and the Analytic Hierar Process(AHP)hierarchical method of the expert group decision-making method calculated the weight of each index from March 20,2022 and June 15,2022.SPSS 22.0 statistical software was used to calculate the coordination coefficient of the expert survey,and the validity of the questionnaire was evaluated,the test levelα=0.05.Results A total of 50 experts participated,the coordination coefficients of the two rounds of expert surveys were 0.38 and 0.43,respectively.Consistency of risk assessment matrix of the novel coronavirus infection isolation medical observation sites in Sichuan Province was0.0756.There were six first-level indicators in the system,the weight of the first-level indicators in turn were daily supervision(0.4205),site hardware construction(0.1955),nucleic acid testing(0.1327),system and process(0.1001),personnel management(0.0949),site environmental disinfection(0.0564),the secondary indicators included 34 in the system,the top six of the weight of second-level indicators in turn were one off room(0.1560),drop-off point for quarantined personnel(0.0937),residual chlorine monitoring(0.0649),site selection(0.0533),video surveillance(0.0456),quarantined personnel nucleic acid(0.0445).Conclusions It is an index system that comprehensively evaluates the risk of novel coronavirus infection centralized isolation medical observation sites in Sichuan Province.It is a more reasonable application of AHP hierarchical method in the evaluation of index system,wh

关 键 词：新型冠状病毒感染 医学观察场所 风险评价 层次分析法 

分 类 号：R737.3[医药卫生—肿瘤]